EAO video stream

The replacement of a central incisor by the root coverage VISTA technique

This video presentation showed a case involving multiple gingival recession which was treated with the vestibular incision subperiosteal tunnel access (VISTA) technique. The VISTA technique allowed for coronal advancement of the flap while protecting the soft tissue graft inside the tunnel without papillae reflection. The procedure had the following steps:

The literature points to a coronally advanced flap (CAF) and connective tissue graft (CTG) as the best combination to obtain root coverage and volumetric tissue gain (both around teeth and implants), but predictable results can also be obtained with the VISTA approach.

“Predictable results can also be obtained with the VISTA approach”

The speaker is currently involved in a longitudinal study to analyse the clinical results of the VISTA technique. The volumetric changes in 2D and 3D are measured by software superimposition of the pre- and post-operative scanned models. The results can be seen in the figures. Some predictive factors were identified: recession class, tooth type, gingival thickness, root prominence, recession depth and recession width.